Keri Rae Maywhort

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6727 Issued in CO

Practice address

7340 S Alton Way
Ste 11-D
Centennial, CO 80112-2335

Phone

(720) 493-1181

Fax

(720) 493-1191

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Keri Rae George Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sport and Spine Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Centennial, CO
  • NPI 1558399121
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467489401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 PARK MEADOWS DR",
            "address_2": "#1714",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801245456",
            "telephone_number": "720-220-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 S ALTON WAY",
            "address_2": "STE 11-D",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122335",
            "telephone_number": "720-493-1181",
            "fax_number": "720-493-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYWHORT",
        "first_name": "KERI",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "GEORGE",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Mavros-Hamlin
• Maximized Health Chiropractic
• Aileen Audria May
• Colleen May
• Ryan Jonathan Maybrook, M.D.
• Desiree McAllister
• Steve Anthony McCabe Jr.
• Margaret Ann McCall, PT
• Mark McCall
• Charles M McCammon, SLP

• Physical Therapist in Centennial, CO
• Providers in Centennial, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.